Resolve at West Allis Respiratory and Rehab
West Allis, Wisconsin · CCN 525108
51 surveys since 2011, 29 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 332
- Surveys
- 51
- Harm or worse
- 29
- Immediate jeopardy
- 13
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 152
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Milwaukee
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 15 for-profit facilities with 128 or more beds in Wisconsin.
Last survey on record
Apr 29, 2026
194 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.93 | 3.71 |
| Registered-nurse hours per resident day | 0.93 | — |
| Annual nurse turnover | 58.8% | 58.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $130,322 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K11.6% | L— |
| Actual harm | G34.9% | H— | I— |
| No harm, potential for more than minimal | D4878.7% | E58.2% | F34.9% |
| No harm, potential for minimal | A— | B— | C11.6% |
Most frequently cited here
In CMS’s current monthly file.
- F8807×
Provide and implement an infection prevention and control program.
- F6095×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6864×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F7594×
Ensure medication error rates are not 5 percent or greater.
- F5843×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
In the surveyor’s words
From the most serious findings on record at Resolve at West Allis Respiratory and Rehab, in the surveyor’s own words.
- Immediate jeopardy, widespreadF867Dec 14, 2023
Based on interview and record review, the facility's Quality Assurance and Performance Improvement (QAPI) program failed to ensure systems are in place and actions implemented with the intention to improve performance, including the prioritizing of pressure injury prevention and treatment, addressing the prevalence and the severity of the problem, and implementation of corrective actions, analysis of data, measuring success, and tracking performance to ensure improvements are sustained. […]
- Immediate jeopardy, patternF686Dec 14, 2023
Based on observation, record review, and interview, the facility did not ensure residents at risk for pressure injuries, and with pressure injuries, were comprehensively assessed in order to implement an individualized plan of care. This was observed with 6 (R95, R101, R107, R100, R68, and R88) of 6 residents reviewed with pressure injuries and at risk for pressure injuries. * R95 was admitted to the facility on [DATE] and identified as being high risk for pressure injuries. R95 was not comprehensively assessed in order to implement an individualized plan of care for prevention of pressure injuries or implement care plan revisions with pressure injury onset. R95 developed a facility acquired unstageable pressure injury to the sacrum on 6/15/23 which deteriorated. […]
- Immediate jeopardy, isolatedF686Jun 8, 2023
Based on observation, interview, and record review the facility did not ensure that residents with pressure injuries received necessary treatment and services, consistent with professional standards of practice, to promote healing, and prevent new pressure injuries from developing for 2 of 5 (R58 and R77) residents reviewed for pressure injuries. The facility assessed R58 to be at risk for the development of pressure injuries. The facility did not implement a turning and repositioning program despite R58's assessed risk. R58 developed a facility acquired stage 3 pressure injury to the right knee that was assessed to have necrotic tissue. The facility identified the root cause of this pressure injury to be immobility, heavy perspiration, and pressure. […]
- Immediate jeopardy, isolatedF600Apr 19, 2023
Based on observation, interviews, and record review, the facility failed to protect the resident's right (R9's right) to be free from sexual abuse by R10 of 6 sampled residents reviewed. On 3/5/23 R10 was observed in R9's room, while R9 was sleeping and partially disrobed. R10 was observed to be standing next to R9's bed and watching her sleep. Licensed Practical Nurse (LPN) K wrote a nurses note of her observation and reported her concerns that R10 should not be in R9 room and questioned why was R10 watching R9 sleeping. LPN K told LPN J her concerns and LPN J, who was also concerned with R10's behavior, told LPN K to report it to the supervisor. LPN K reported this concern to RN Supervisor I. […]
- Immediate jeopardy, isolatedF580Mar 4, 2021
Based on interview and record review, the facility failed to ensure the medical doctor (MD) for 1 (R1) of 3 residents reviewed for change in condition was consulted with regarding a significant change in condition. R1 was admitted to the facility on [DATE] with orders for the anticoagulant [MEDICATION NAME] which put R1 at high risk for bleeding. On 12/24/20, R1 was seen by a Respiratory Therapist (RT) who noted blood tinged sputum. RT reported this to nursing who did not report the abnormality to the MD. On 12/25/20, R1 was seen by a RT who noted blood tinged mucous plugs. RT reported this to nursing who did not report the abnormality to the MD. […]
Read 47 findings in full →The most serious and the most recent: 47 of 332 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 4, 2026Complaint1 finding · 1 harm
- Apr 29, 2026Standard and complaint9 findings · 1 harm
- Jan 28, 2026Complaint2 findings
- Jan 14, 2026Complaint4 findings
- Dec 3, 2025Complaint4 findings
- Jun 26, 2025Complaint2 findings · 1 harm
- Jun 4, 2025Complaint3 findings
- Mar 13, 2025Complaint4 findings
Show the 43 earlier surveys
- Dec 5, 2024Standard and complaint4 findings
- Aug 29, 2024Complaint3 findings
- Jun 11, 2024Standard and complaint4 findings
- Apr 16, 2024Complaint2 findings
- Feb 22, 2024Complaint9 findings
- Dec 14, 2023Standard and complaint19 findings · 3 harm
- Jun 8, 2023Standard and complaint4 findings · 1 harm
- Apr 19, 2023Complaint7 findings · 2 harm
- Dec 12, 2022Standard and complaint15 findings · 2 harm
- Jun 28, 2022Standard and complaint21 findings · 1 harm
- Mar 1, 2022Complaint1 finding
- Dec 13, 2021Standard6 findings
- Sep 2, 2021Complaint5 findings · 1 harm
- Jun 21, 2021Standard and complaint21 findings · 1 harm
- Apr 29, 2021Complaint6 findings
- Mar 4, 2021Complaint6 findings · 3 harm
- Jan 25, 2021Complaint4 findings · 1 harm
- Nov 4, 2020Complaint3 findings
- Sep 30, 2020Complaint2 findings
- Jan 13, 2020Standard and complaint16 findings · 5 harm
- Nov 14, 2019Complaint11 findings · 1 harm
- Sep 20, 2019Complaint8 findings · 1 harm
- Aug 6, 2019Complaint8 findings · 2 harm
- May 15, 2019Complaint1 finding
- Nov 16, 2018Standard19 findings
- Jul 2, 2018Complaint1 finding
- Oct 30, 2017Standard4 findings
- Jul 13, 2017Complaint9 findings
- Dec 21, 2016Complaint1 finding
- Aug 9, 2016Standard and complaint19 findings
- Apr 19, 2016Complaint4 findings
- Dec 16, 2015Complaint2 findings
- Sep 9, 2015Complaint4 findings
- Jul 29, 2015Complaint1 finding
- Apr 29, 2015Standard and complaint12 findings
- Dec 30, 2014Complaint1 finding
- Apr 23, 2014Complaint1 finding
- Mar 18, 2014Standard and complaint11 findings
- Sep 19, 2013—1 finding
- Apr 30, 2013—6 findings
- Nov 7, 2012—2 findings
- Mar 16, 2011—1 finding
- Feb 9, 2011—18 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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